4Z6-28962-95147

4 vaccinations 14 coded responses 39 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 786 / TX
Registered: 2021-04-22

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Pfizer-BioNTech
2021-04-22
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy like rapidly descending elevator

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Feeling abnormal, Heart rate increased, Lacrimation increased — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itchy watery eyes -harder faster heartbeat -foggy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Pain in jaw — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Left neck and jaw pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Nausea, Vomiting, Abdominal pain · Be unable to work

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Headache

Free text: Easily winded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — day 7, dose 1
MedDRA: Crying, Depression — Feeling: Fair · Chills, Headache, Fatigue or tiredness

Free text: Bummed -weepy -crying jags past 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-13
Dose 2 — Pfizer-BioNTech
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Crying, Depressed mood — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Happened last time as well2day felt extra weepy, sad, bummed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-05-30
Survey response — day 14, dose 2
MedDRA: Lymphadenopathy, Oropharyngeal pain, Productive cough, Rhinorrhoea, Sinus congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: 99 degree temperature swollen glands sore throat runny nose/sinus congestion wet productive cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Chills, Diarrhoea, Flatulence, Heart rate increased, Hyperhidrosis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Abdominal cramping/ diarrhea/easily winded: rapid heart beat, sweats and chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — day 35, dose 2
MedDRA: Chills, Dyspnoea, Flatulence, Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinusitissweats/chills easily winded and out of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-10
Dose 3 — Pfizer-BioNTech
2021-11-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen glands in neck

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache, Diarrhea

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-17
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-22
Dose 4 — Pfizer-BioNTech
2022-04-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-04-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-04
Survey response — day 42, dose 4
MedDRA: Productive cough, Sinus congestion, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus congestion- post nasal drip- productive cough-

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Survey response — 3 months, dose 4
MedDRA: Headache, Unevaluable event, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache- temperature- vision problems

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Survey response — 6 months, dose 4
MedDRA: Cough, Dyspnoea, Sinusitis, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Wheezing cough, shortness of breath, sinusitis

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-21
Call 1 — Left Voicemail
2022-09-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-22
Survey response — 12 months, dose 4
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Pfizer-BioNTech
2	2021-05-13	Pfizer-BioNTech
3	2021-11-10	Pfizer-BioNTech	No
4	2022-03-22	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-22

Systemic reaction (other): Dizzy like rapidly descending elevator

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): Itchy watery eyes -harder faster heartbeat -foggy brain

2021-04-24

Systemic reaction (other): Left neck and jaw pain

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Easily winded

Release 8 — day 7, dose 1

2021-04-29

Systemic reaction (other): Bummed -weepy -crying jags past 3 days

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Happened last time as well2day felt extra weepy, sad, bummed

Release 8 — day 14, dose 2

2021-05-30

Symptoms: 99 degree temperature swollen glands sore throat runny nose/sinus congestion wet productive cough

Release 8 — day 21, dose 2

2021-06-03

Symptoms: Abdominal cramping/ diarrhea/easily winded: rapid heart beat, sweats and chills

Release 9 — day 35, dose 2

2021-06-17

Symptoms: Sinusitissweats/chills easily winded and out of breath

Release 10 — days 1–6 daily, dose 3

2021-11-13

Systemic reaction (other): Swollen glands in neck

Release 11 — day 42, dose 4

2022-05-04

Symptoms: Sinus congestion- post nasal drip- productive cough-

Release 12 — 3 months, dose 4

2022-06-21

Symptoms: Headache- temperature- vision problems

Release 12 — 6 months, dose 4

2022-09-20

Symptoms: Wheezing cough, shortness of breath, sinusitis

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Abdominal pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Headache	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Visual impairment	·	·	✓
SD	Wheezing	·	·	✓
SRO	Crying	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release